Healing Together Programme - SDLC Application Form

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Get Started

To get started, please enter your Healing Together Facilitator Number(this can be found on the offer email that we sent to you)
Healing Together Facilitator Number*

Personal Contact Details
Full Name (Add first name and last name)*

First NameLast Name
Organisation/School Name*
Email Address (please use the email address associated with your Healing Together account)*
Double check your email address is correct
What date do you plan to start your online training?*

DayMonthYear
Note: once access is granted, you have 30 days to complete your self-directed training. You may choose a start date up to 6 months into the future.
Funding Details

How will you be paying for your additional Healing Together programme?
You have indicated that you have been offered a fully funded place and do not require an invoice.

This will be checked against our funding records.

Please note: ticking this option without applying a valid Funding Code for 100% funding will result in delays to your application.

If this is incorrect, please uncheck the box above and enter your Billing Contact details on the next page.
Main Contact Details

Your Home, Work or School address; please use the best details for us to contact you at.
Address*

Street Address

Street Address Line 2

CityCounty

PostcodeCountry

Choose your Programme

Important! - If you have a funding code please ensure you enter this below.

Available Programmes*

Additional Self Directed Learning Courses (Optional Extra)
product

Supporting Children with Ongoing Anxiety and/or Stress [HTFP-ANX]£300.00

The programme provides support for young people who are experiencing ongoing stress and/or anxiety.

Angry Feelings Programme [HTFP-ANGM]£300.00

The programme helps young people to learn about anger, how angry show up in our body, brain and daily life. The programme helps children discover ways to help them feel safer, so their angry feelings don't make life so difficult for them.

Supporting Young People Impacted by Domestic Abuse [HTFP-DA]£300.00

This programme has been carefully put together to help young people learn about how their body and brain can work together to help them feel safe and calm.

Resourcing Parents and Carers: Domestic Abuse [HTFP-RPC]£300.00

The programme enables parents/carers to attend the Healing Together programme so they are resourced to support their child impacted by domestic abuse.

Enter coupon

Subtotal £0.00Tax £0.00Total £0.00

You have indicated that you have been offered a fully funded place and do not require an invoice.

This will be checked against our funding records.

Please note: ticking this option without applying a valid Funding Code for 100% funding will result in delays to your application.

If this is incorrect, please uncheck the box above and enter your Billing Contact details on the next page.
Choose your Start Dates

Once access is granted, you have 30 days to complete your self-directed training. For each of your chosen programmes, you may choose to delay your start date by up to 6 months into the future. If you do not select a start date, we will grant access immediately upon approval of your application.
Supporting Children with Ongoing Anxiety and/or Stress

DayMonthYear
What date do you plan to start your training for this programme?
Angry Feelings Programme

DayMonthYear
What date do you plan to start your training for this programme?
Supporting Young People Impacted by Domestic Abuse

DayMonthYear
What date do you plan to start your training for this programme?
Resourcing Parents and Carers: Domestic Abuse

DayMonthYear
What date do you plan to start your training for this programme?

Finance Contact Details

Work or School address; please give details of where we should send your invoice for payment
Billing Organisation/School Name*
Purchase Order Number
Please include a PO number if applicable to your organisation
Billing Contact Name*

First NameLast Name
Billing Contact Email Address*
example@example.com
Billing Address*

Street Address

Street Address Line 2

CityCounty

PostcodeCountry

Declaration

Please confirm that you agree to the terms & conditions of this application
For the purpose of progressing with your application, we are required to process your personal data. This processing is carried out in accordance with Innovating Minds Terms & Conditions as below.

We require that you consent to this processing and to receive communications from us.

By submitting this application form, I confirm:
1. I have read the Terms & Conditions & Acceptable Use Policy.
2. I understand that I will not be granted acceess to the Programmes resources if payment has not been made.
3. I have Disclosure Barring Service (DBS) or other regulatory clearance to work with children and/or adults
4. I understand that I must maintain my accreditation status, access support & CPD. View membership details.
5. That the information given in this application is true, complete and accurate
I agree to the above terms and consent to processing of my personal data
Print Name*
Signature*
Date*

DayMonthYear
Date
Thank you for completing your application. We look forward to supporting you to deliver the addtional programmes.
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Get Started

Personal Contact Details

Funding Details

Main Contact Details

Choose your Programme

Choose your Start Dates

Finance Contact Details

Declaration